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Home My WebLink About63299D - HayesCAMA / � DREDGE & FILL �� S 63 3hENERAL PERMIT Previous permit # JNew Modification [-]Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources t] .oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC zcci ` _�Rules attached. t Name KCA �1�i L t Project Location: County ! �1/ U rn<�w i .at- � VG.S Aytoblyl , Y1t, ydl-t G7•t Street Address/ State 1Rioa�d'/)Lot #1 (s) (� r 6i.V9Yxd(:V StateNc- ZIP41137 346� &N-t It t'�_IYti (�C26A � () Fax # ( ) Subdivision ed agent \ K{c��S i . ZIP L{ ❑ CWEW PTA ES ❑ PTS�#) River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Bodnat ❑ PWS: ❑ FC: es / no PNA Closest Maj. Wtr. Body y � yes / no Crit.Hab. yes f no ' Project/ At#vity :k)length (s) LYIto, I(0)A, er(s) igth nber ��J I/ Riprap length distance offshore K distance offshor annel is yards ip ;e/ Boatlift Y 11dozing ZAM g permit may be requi(ed by: lK l.wmA ually -,neCK Log Tor WIKu Date Check Name of Permit Holder Vendor Cableu, LLC _ H & H Construction _ H & H Construction Mike Cecil ermit N 63973D 400.00 GP 63958D GP 63959D 200.00 GP 63960D 6/2512014 Backwater Marine Construction, Inc __— Craig Brad 1557 _ 19381 $800.00 _ $200.00 GP 63296D @$400 Jim & Mary Beth Yeager _ GP 63297D $$200 6/25/2014 John Lassiter GP 63167D @a $200 Charles Fox Homes, LTD Ralph Patterson_ _ _ _ _ _ _ GP 63295D mod. MP # 138-13_ GP 63976D GP 63977D GP 63956D 6/27/2014 NCWRC wire transfer 0000070743 _ 70743 _ $100.00 6/27/2014 Karen Z. Perry _ TommyPerry 5201 2387 1826 _ $100.00 $200.00 $400.00 6/27/2014 Custon Island Homes b er Ken KisLLC James Gei er _ 6/30/2014 Maritech, LLC Adam C Knierim Griffin and Zack _6/30/2014 John L. Clark 7/1/2014 Timothy U. and Diana B. Glasson — - 7/1/2014 Charles F. Riggs &Associates Inc. 7/1/2014 Eastern Builders of the Carolinas Inc __— _ - _ - Herbert &Louise Rust Donald Thom-pson___ _ Jim and Janie_ Crouch Joey Dinkins 4549 $200.00 _ GP 63152D 972 $400.00 major fee, Brunswick Co. 13529 $100.00 -ir minor fee, TB 39886 $100.00 _ minor fee, NTB 7/2/2014 Ryan D. Cooper 7/2/2014 Carolina Bluewater Construction, Inc. 7/2/2014 George Land Rosemarie K Jones 7/2/2014 Wells Fargo Cashier's Check to B and B Construction - — - -- — - ____ _ - - - ---- -Bruce — -- — --- 7/10/2014 Marek _ 7/10/2014 American Marine Const. Inc _ _ _ 1808 $200.00 GP 63298D _ __ 9315 _ $200.00 _ GP97 634D Chris Butzko Gail Wamsley --- Catherine Kell - y - -- --- --- $100 credit Middle Island Community Dock Wells Faro Tomm Perry First Citizens _ First Citizens _ _t Devincenzo PNC Bank Coleman Parks BB&T Mike Riley- Wells Fargo Hayes Wells Fargo j 3608 $200.00 GP 63925D 6740400592 $1,053.00 GP 63955D $153 + $4, _—- GP 63926D @$600 - -- ---- GP 63927D $200 --� - GP 63981 D 1357 $400.00 GP for ri ra 85590 $100.00 GP 63976D 7/10/2014 Charles Riggs & Associates 7/10/2014 F_and S Marine Construction - _ 7/10/2014 Advance Pro Qerties LLC - - _ _ 7/10/2014 Western Union Mondy Order _ _ _ 7/10/2014 Western Union Mondy Order !Ronnie 13512 $50.00 SC Ex 14-08, Pender Col 3862 $200.00 _ $200.00 $100.00IGP63981D $200.00 j GP for Wa nick Blvd GP 63988D GP63299D 1579 17-033118103 17-011962641 X Division of Coastal N19t, Habitat impact Computer Sheet r Permit #: late: )escribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen aund in your Habitat code sheet. DISTURB TYPE Ilabitat Name I Choose One Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill Dredge ❑ Fill TOTAL Sq. Ft. FINAL Sq. Ft. (Applied for. (Anticipated final Disturbance total disturbance. includes any Excludes any anticipated restoration restoration or and/or temp temp impacts) impact amount) ■ Complete items 1, 2, and 3. Also complete Dredge ❑ Fill [ Item 4 if Restricted Delivery Is desired. ■ Print your name and address on the reverse so that we can return the card to you. Dredge ❑ Fill [ ■ Attach this card to the back of the mailpiece, or on the front if space permits. Dredge ❑ Fill[ 1. Article Addressed to: Dredge ❑ Fill [ 8422-7900 Marshall White CN'cr-a6CM Dredge ❑ Fill [ 110 Green Rd. Riegelwood, NC 28456 Dredge ❑ Fill [ Lakes Cir. SE Dredge ❑ Fill [ TOTAL Feet FINAL Feet (Applied for. (Anticipated fin; Disturbance disturbance. total includes Excludes any any anticipated restoration and, restoration or temp impact A. Signature Received by (Pr1ntqV Ngme) IC1.CDa'b D. Is delivery address different from it 1? C If YES, enter delivery address below: C RECEIV DCM WILMING 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for 4 ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) [ Dredge [I Fill [ 2. Article Number (7 0 0 5 0390 0003 5187 3456 transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt toe. Dredge ❑ Fill [_ i Dredge ❑ Fill ❑ Both 0 Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ (l1-7 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM / Mait, Bate �1MHCDO Ronnie Smith Name of Property Owner Applying for Permit: Ronnie Ha Mailing Address: 8825 Lebanon Church Rd. Clearendon NC 28432 LPO DW Review Scan to DMoye C I certify that I have authorized (agent) Joei E. Klass to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) Enlarge deck with roof. install boat lift at (my property located at) 3703 Shell Point Rd. Shallotte, NC This certification is valid thru (date) b Z�/ `f Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ronnie Hayes s property located at 3703 Shell Point Rd. (Name of Property Owner) (Address, Lot, Block, Road, etc.) on Shallotte River ,in Shallotte N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. r,14) I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. v C I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Signature Si at e / Rennie Hayes Marshall White Print or Type Name Print or Type Name 8825 Lebanon Church Rd. 110 Green Rd. ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: $422-7900 - Daniel Gore 359 Gore Trailer Rd. Whiteville, NC 28472 A. Stature X )1 Agent Addresse B eceiv�d by ( Printed Name) C. ate of Deliver D. Is delivery address differentxm item 1? ❑ Yes If YES, enter delivery addT'lI!1--8L4VED ❑ No DCM WILMINGTON, NC 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7005 0390 0003 5187 3463 (Transfer from service label) DS Form 3811. February 2004 Domestic Return Receipt 102595-02-M-15� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ronnie Haves s property located at 3703 Shell Point Rd. (Address, Lot, Blo(Name of Property Owner)ck, Road, etc.) on Shallotte River , in Shallotte N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location- '17- I have no objection to this proposal. ! have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Bonnie Hayes Print or Type Name 8825 Lebanon Church Rd. MAilinn drlrirncc :(7ALdjant Pro erty Owner Information) gig ature Daniel Gore Print or Type Name 359 Gore Trailer Rd. 340-3941 319) 14